Courier Drop-Off List for U.S. Passport Applications

ICR 201905-1405-003

OMB: 1405-0222

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2020-07-07
Supplementary Document
2019-05-03
IC Document Collections
ICR Details
1405-0222 201905-1405-003
Active 201604-1405-001
STATE/AFA
Courier Drop-Off List for U.S. Passport Applications
Revision of a currently approved collection   No
Regular
Approved with change 07/07/2020
Retrieve Notice of Action (NOA) 05/03/2019
DS-4283 is now PDF fillable except for the signature field. Minor adjustments made to the Supporting Statement. Four months prior to resubmission of this collection, the agency will consult with OIRA regarding adopting a capacity for accepting electronic signature.
  Inventory as of this Action Requested Previously Approved
01/31/2022 36 Months From Approved 07/31/2020
238,554 0 216,000
39,759 0 36,000
52,482 0 47,520

The information collected on the DS-4283 is used to facilitate the issuance of passports to U.S. nationals with imminent travel plans who hire private courier companies to deliver their applications to one of the Department’s domestic passport agencies. The Department asks courier company employees to complete the DS-4283 and submit the form with passport applications delivered in bulk to passport agencies in a designated drop-off box. Passport agencies use the form to track the submission of applications that a courier drops off. The form serves as a record of receipt of documents submitted to the Department and as an acknowledgment of who delivered these documents. The DS-4283 is part of a Department effort to facilitate the delivery of passport applications by private courier companies while maintaining the integrity of the passport application process.

US Code: 22 USC 2670 Name of Law: Authority to Establish, Maintain and Operate Passport Agencies
   US Code: 22 USC 211a Name of Law: Authority to Grant, Issue, and Verify Passports
  
None

Not associated with rulemaking

  84 FR 1528 02/04/2019
84 FR 18332 04/30/2019
Yes

1
IC Title Form No. Form Name
Courier Drop-Off List for U.S. Passport Applications DS-4283 Courier Drop-Off List for U.S. Passport Applications

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 238,554 216,000 0 22,554 0 0
Annual Time Burden (Hours) 39,759 36,000 0 3,759 0 0
Annual Cost Burden (Dollars) 52,482 47,520 0 4,962 0 0
Yes
Miscellaneous Actions
No
The program change reflects an increase in burden hours from 36,000 in 2015 to 39,759. This increase is based on the fact that the number of responses has also increased, from 216,000 to 238,554.This increase correlates to the overall increase in passport demand over the last few years, with the number of applications received at the public counter increasing from 840,732 in 2015 to 907,495 in 2018

$0
No
    Yes
    No
No
No
No
No
Maya Badiat 202 485-6530

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/03/2019


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